Organization
WHITTLER ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN G WHITTLER MD (PRESIDENT)
(575) 264-3317
Entity
Organization
Contact information
Practice address
1205 SOUTH TELSHOR BOULEVARD, LAS CRUCES, NM 88011
(575) 532-7000
Mailing address
PO BOX 21850, ALBUQUERQUE, NM 87154-1850
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67215
—
NM
01
—
NM009W90
BCBS OF NM
NM
01
—
P00265100
RR MEDICARE
—
Enumeration date
04/12/2007
Last updated
07/01/2009
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